Individual
MS. ALEXANDRA L. MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW #100605
Contact information
Practice address
250 BRATTLE ST, UNIT #22, CAMBRIDGE, MA 02138-4631
(617) 497-0190
(617) 497-0190
Mailing address
250 BRATTLE ST, UNIT #22, CAMBRIDGE, MA 02138-4631
(617) 497-0190
(617) 497-0190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100605
MA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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